| NPI | 1144494311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE C RANDELL Nurse Practitioner 718-470-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY F400807) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |